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Organization
PROJECT RAISED
Active
Organization
PROJECT RAISED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A GARCIA CASE MGR/CARE COOR. (CEO)
(323) 336-1632
Entity
Organization
Contact information
Practice address
3839 AMANDA ST, UNIT 133, WEST COVINA, CA 91792-2759
(323) 336-1632
Mailing address
3839 AMANDA ST, UNIT 133, WEST COVINA, CA 91792
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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