| NPI | 1346056181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENOH STEPHEN UDOFFIA CEO 213-645-9866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2026-08-21 |