| NPI | 1407240401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE SAMORA L.V.N 562-216-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA vn 243937) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |