| NPI | 1689972846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE ROMERO Wraparound Program Director 626-844-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2015-05-14 |