| NPI | 1104976612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE CHAVEZ Administrator 310-602-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: CA 060000751) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |