| NPI | 1992967129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORESHA BABETTE BELL Agent Of Record 323-293-7805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 251S00000X |
| 251B00000X Case Management | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-09-24 |