NPI | 1396014544 |
---|---|
Entity Type | Organization |
Authorized Contact | FREDERIK VILHELM SCHULIN Administrator 310-459-0613 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 198601411) |
Enumeration Date | 2011-12-16 |
Last Update Date | 2011-12-16 |