| 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 |