| NPI | 1265977862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE RENEE WILSON Peer Advocate 323-644-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CA 1720151137) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |