| NPI | 1497094338 |
|---|---|
| Doing Business As | ACTIVE ADHC |
| Entity Type | Organization |
| Authorized Contact | MARK GRADON COO 323-206-0127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |