| NPI | 1679794192 |
|---|---|
| Other Name | FAIRVIEW HOUSE |
| Entity Type | Organization |
| Authorized Contact | LA VERN L. NEAL Chief Operating Officer 310-223-5920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: CA 960000916) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |