| NPI | 1659911683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKE NJOKU Director 310-986-0114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |