| NPI | 1669235388 |
|---|---|
| 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 |