| NPI | 1194602888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY MCCOY Director 323-299-1869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 177F00000X Lodging | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-08-16 |
| Last Update Date | 2025-10-03 |