| NPI | 1578944229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSUE DIAZ Social Work Intern 562-261-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA D4363105) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |