| NPI | 1548823032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY SCHOSER Revenue Cycle Manager 323-364-6489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2021-11-15 |