| NPI | 1972053726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAULON SHANKLIN Director Of Claims Operations 626-798-6793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2021-08-20 |