| NPI | 1710633326 |
|---|---|
| Other Name | STAR VIEW RANCHO LOS AMIGOS CRTP |
| Entity Type | Organization |
| Authorized Contact | KENT DUNLAP President And Chief Executive Offic 310-221-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |