| NPI | 1679182042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIJAH YESERI BYEKWASO LUBANDI Director Of Operations 310-844-3163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |