| NPI | 1841301975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA DAWSON Associate Executive Director 310-944-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CA 960000507) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |