| NPI | 1700572641 |
|---|---|
| Other Name | FIELD-BASED CRISIS SERVICE PROGRAM-GGT |
| Entity Type | Organization |
| Authorized Contact | LEEANN SKOROHOD CFO 310-945-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-13 |