| NPI | 1285084509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE TRINIDAD Contact Person 562-714-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 198600455) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |