| NPI | 1285433482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREL STAMPER Managing Member 310-614-4102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-12 |