| NPI | 1619327723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDA RENEE DELIFUS Mental Health Rehabilit Specialist 310-418-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |