| NPI | 1205009495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MARIE BREEDLOVE Vice Presidnet 310-849-1338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 191601565) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |