| NPI | 1033221452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON SELICO President 323-293-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA 060000630) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-05-03 |