NPI | 1629465273 |
---|---|
Entity Type | Organization |
Authorized Contact | SEBASTINE E. CHIKEZIE Nurse Practitioner 310-982-3141 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CA 688400) |
Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care (Licence: CA 688400) |
3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: CA 688400) | |
Enumeration Date | 2015-04-21 |
Last Update Date | 2015-04-21 |