| NPI | 1912463852 |
|---|---|
| Other Name | CENTRAL STAR CHILDREN'S OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | KENT DUNLAP President And Chief Executive Offic 310-221-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2020-01-03 |