| NPI | 1063690204 |
|---|---|
| Other Name | LA VIDA WEST CAL- SAFE |
| Entity Type | Organization |
| Authorized Contact | CHYNETHIA BOYD Excutive Director 310-217-0616 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |