| NPI | 1437682770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM ZENOU Manager 310-857-8218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 197607380) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |