| NPI | 1457129462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE MCPHAIL Owner 310-909-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2024-02-02 |