| NPI | 1972279362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEANN SKOROHOD COO 310-945-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251X00000X Supports Brokerage | |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2022-07-27 |