| NPI | 1538038203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS HONG Administrator 323-646-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-11-01 |
| Last Update Date | 2025-11-01 |