| NPI | 1770915597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA KRUSKAL Vice President 323-876-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 273152) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |