| NPI | 1144817214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIA MILLER Owner 562-846-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2020-12-23 |