NPI | 1871622498 |
---|---|
Other Name | OPTIMIST PALMDALE |
Entity Type | Organization |
Authorized Contact | RUSHMORE CERVANTES Chief Executive Officer 323-443-3101 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2007-03-02 |
Last Update Date | 2025-06-04 |