| NPI | 1659064590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS R SENYONJO CEO 818-602-6123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-26 |