| NPI | 1558905968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA BAKER CEO 323-202-8432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |