NPI | 1346711504 |
---|---|
Entity Type | Organization |
Authorized Contact | ROWIE JUCAL Administrator/RN 626-373-6211 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
Enumeration Date | 2018-12-16 |
Last Update Date | 2018-12-16 |