| NPI | 1124157342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP WONG CEO 323-309-8707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: CA 930000058) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-05-10 |