| NPI | 1528295128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAIL HADDADIN Facility 626-337-1424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 191501799) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |