NPI | 1164269387 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH WATTS Administrator 213-369-1383 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2024-07-15 |
Last Update Date | 2024-07-15 |