| NPI | 1467667154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY WHITE Chief Operating Officer 626-449-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CA 960000742) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2024-02-20 |