| NPI | 1568159911 |
|---|---|
| Doing Business As | MARYVALE COMMUNITY BASED SERVICES |
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN CULVER Director Of Community Based 626-263-9133 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-05-05 |