| NPI | 1649589623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD LEWIS HARDIN Exec. Director 310-832-6031 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: CA 198600603) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |