| NPI | 1780293936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY FIES Controller 562-498-5513 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 251B00000X Case Management |
| 171M00000X Case Manager/Care Coordinator | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2025-10-13 |