| NPI | 1063211506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIMA JEVREMOVIC CEO 310-200-7753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 103TR0400X Psychologist Rehabilitation | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QR0800X Clinic/Center Recovery Care | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |