| NPI | 1588130363 |
|---|---|
| Doing Business As | WAVE INTERNATIONAL LLC, THE |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WRIGHT FOX CEO 310-547-7501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2024-04-12 |