| NPI | 1487835112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL MONTERO Administrator 562-682-1484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2007-11-22 |
| Last Update Date | 2007-11-22 |