| NPI | 1619042835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH PARRENO Administrator Licensee 562-761-9319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |