| NPI | 1396986386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY PLOTZKER Administrator 310-573-7083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 198600073) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2009-03-20 |