| NPI | 1932651254 |
|---|---|
| Other Name | 500 HOUSE - AFTERCARE |
| Entity Type | Organization |
| Authorized Contact | LORRAINE ROMERO Community Based Director 626-844-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |