| NPI | 1093257545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH AVANZADO Executive Director 626-374-7294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CA 191222785) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |