| NPI | 1275739401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERIC MARTEZ HORTON Day Rehabilitation Specialist 323-463-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 322D00000X) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |