NPI | 1548978430 |
---|---|
Doing Business As | STEP UP ON SECOND-SANFORD |
Entity Type | Organization |
Authorized Contact | DAVID MARK TAVLIN Chief Program Officer 310-985-5250 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2022-11-09 |
Last Update Date | 2022-11-09 |