| 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 |