| NPI | 1851150353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLUS KALOKI Administrator 714-676-6045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2026-03-25 |