| NPI | 1649012568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON DOBBS Owner/Clinical Director 310-428-2431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2025-03-06 |