| NPI | 1710334487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE HARDIN President/CEO 310-739-3585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: CA 00000) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |