| NPI | 1770756462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MARIE BREEDLOVE Vice President 310-849-1338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 191601793) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |