| NPI | 1134926769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER E BROOM CEO/Executive Director 323-643-4869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-03-01 |
| Last Update Date | 2025-04-02 |