| NPI | 1508506841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASTASSJA LAWRENCE Owner 626-404-8471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2022-04-01 |