| NPI | 1720105224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAULON SHANKLIN Director Of Claims Operations 626-798-6793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2023-09-22 |