| NPI | 1821872797 |
|---|---|
| Doing Business As | IRONWOOD LAKE HOUSE |
| Entity Type | Organization |
| Authorized Contact | DEBORA GARCIA Rcm Manager 310-457-6302 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-08-22 |