| NPI | 1336426717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEWALT BROWN CEO 626-926-3519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 191204078) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CA 191222713) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CA 197600074) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |