| NPI | 1558881003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCESS BERRYMON Administarive Assistant 323-644-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2018-03-17 |