| NPI | 1750783460 |
|---|---|
| Doing Business As | VILLA BALBOA |
| Entity Type | Organization |
| Authorized Contact | TATYANA DEKADOKH CFO 818-891-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |