| NPI | 1609740703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEMOTO Co Owner 818-671-7085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |