NPI | 1659134377 |
---|---|
Entity Type | Organization |
Authorized Contact | ZAYDEN CHEN Managing Member 619-625-6886 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
Enumeration Date | 2024-02-05 |
Last Update Date | 2024-02-05 |