| NPI | 1679917637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINORA BEATRIZ MENA License Vocational Nurse 323-876-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA vn 266328) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |