| NPI | 1740460468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA C TUBIANOSA President 626-810-5567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: CA 060000286) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |