| NPI | 1750713624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FISCHER Executive Director 818-610-3956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |