| NPI | 1235717083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM GHUKASIAN Program Director 626-731-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-04-01 |