| NPI | 1255019691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUATAUN MARK Chief Program Officer 562-587-5860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |