| NPI | 1962884304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT DUNLAP President And Chief Executive Offic 310-221-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2024-12-23 |