| NPI | 1578383154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAHAIRA VARGAS Social Work Intern 661-573-1036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |