| NPI | 1134557879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOSEPH COSTIGAN Administrator 626-374-2264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |