| NPI | 1598160129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRNA G VILLATORO Dental Hugienist 818-388-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA Hap 351) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |