| NPI | 1326180191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET LANAM Administrator 323-759-7604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: CA 960001434) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |