| NPI | 1619137460 |
|---|---|
| Doing Business As | SEPULVEDA RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | MARK SAMUELS Administrator 818-782-7288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |