| NPI | 1578224002 |
|---|---|
| Other Name | SSG HOPICS CROCKER |
| Entity Type | Organization |
| Authorized Contact | HERBERT K HATANAKA Executive Director 213-553-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-24 |