| NPI | 1649693664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA V HINDS President 310-837-9324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 330907269) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |