| NPI | 1750362091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JACKSON Administrator 562-591-7753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: CA 060000690) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2020-08-22 |