| NPI | 1154200673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH IVANOV CEO 818-300-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |