| NPI | 1821480542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BUENVIAJE Administrator 562-941-3813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 306004456) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |