| NPI | 1184898900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH GIBSON Executive Administration 310-337-7417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |