| NPI | 1821897851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEMISI RACHAEL LASEKAN Manager 310-699-2862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-08-01 |