NPI | 1154101954 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE WILLIAMS CEO 323-434-1404 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness |
Enumeration Date | 2023-09-29 |
Last Update Date | 2023-09-29 |