NPI | 1841732302 |
---|---|
Other Name | CENTRAL STAR BEHAVIORAL HEALTH SERVICE TEAM |
Entity Type | Organization |
Authorized Contact | KENT DUNLAP President And Chief Executive Offic 310-221-6336 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2016-11-14 |
Last Update Date | 2021-06-28 |