| NPI | 1194572867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ESSAS Managing Director 310-435-5509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |