| NPI | 1457529760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELINE EKWEBELEM MADAUBUCHI Chief Executive Officer 310-644-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CA 190587AN) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |