| NPI | 1801326491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC ADUSEI Owner/Director 818-205-8178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-07-21 |