| NPI | 1861173106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS MARTIR Licensee/Administrator 626-494-2899 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-07-28 |