NPI | 1629574777 |
---|---|
Doing Business As | CENTRAL STAR CRISIS RESIDENTIAL UNIT |
Entity Type | Organization |
Authorized Contact | KENT DUNLAP President And Chief Executive Offic 310-221-6336 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2018-04-05 |
Last Update Date | 2018-05-21 |