NPI | 1770088718 |
---|---|
Other Name | CENTRAL STAR FSP |
Entity Type | Organization |
Authorized Contact | KENT DUNLAP President And Chief Executive Offic 310-221-6336 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2018-03-29 |
Last Update Date | 2018-06-21 |