| NPI | 1982470134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA SOPHIE CRUZ Lvn 626-393-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2024-01-05 |