| NPI | 1316237076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY BAILEY CEO 323-379-6249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: AZ BH3871) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-07-01 |