| NPI | 1801457726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WEATHERSBY President 323-754-1408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-06-21 |