| NPI | 1679238273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSMAN BANGURA Manager 323-424-2269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2021-11-08 |