| NPI | 1326767153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH MWANDAGA Administrator 714-858-1284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2022-08-24 |