| NPI | 1760884555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOUROSH SHIRAZI VP 714-270-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: CA 197608204) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |