| NPI | 1164797825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY HAJJAR Director Of Business Operations 323-644-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |