| NPI | 1457773285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE BELL Csw I 714-935-7317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |