| NPI | 1396364212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE MONIQUE SAMPSON CEO 323-590-9813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-27 |