| NPI | 1528220407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA LOBERG Medical Case Worker I 323-266-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |