| NPI | 1801693494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN DAVIDSON Administrator 310-212-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-02-28 |