| NPI | 1023327541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEAL FITZGERALD Director 310-984-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |