| NPI | 1720857766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONA AYRAPETYAN Administrator 323-684-1609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2024-01-01 |