| NPI | 1477971448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZULFICAR GREGORY RESTUM CEO 310-205-2591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 197608604) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |