| NPI | 1306625611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LACHELLE SMITH Counselor 562-743-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2026-06-03 |