| NPI | 1780562629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEKORA ROBINSON Executive Director 310-678-5332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-27 |