| NPI | 1770386245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI SPENCER Administrator 323-588-2066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 261QE0002X Clinic/Center, Emergency Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QR1100X Clinic/Center, Research | |
| 374U00000X Home Health Aide | |
| 251B00000X Case Management | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-07-30 |