| NPI | 1194567396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARNELLE ALCORN Administrator 661-361-5103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |