| NPI | 1093152076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERIK VILHELM SCHULIN Administrator 310-459-0613 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA MHBS130185) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |