| NPI | 1780129486 |
|---|---|
| Other Name | BEACHWOOD HOUSE |
| Entity Type | Organization |
| Authorized Contact | MARK SUPPER President/CEO 323-467-8466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 197603055) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-06 |