| NPI | 1902421290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNIKA BLATE Administrator 310-750-4313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |