| NPI | 1437287489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL M LIESS Executive Director And Facility Adm 310-337-7417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 191593149) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |