| NPI | 1669349932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH WALLACE JACOBS Owner 323-385-2684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-21 |