| NPI | 1538883392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD KAMOTHO Administrator 714-232-5384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-09-26 |