| NPI | 1619336740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALINA BLANK Managing Member 323-428-4258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 550003098) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |