| NPI | 1235781808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY MINNICK Chief Executive Officer 626-286-1191 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |