| NPI | 1922707959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE CIPE CHAVEZ Recovery Specialist I 661-868-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2024-02-14 |