| NPI | 1104655513 |
|---|---|
| Doing Business As | EDEN HOUSE |
| Entity Type | Organization |
| Authorized Contact | AMANDA NUGENT DIVINE CEO 310-663-0752 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |