| NPI | 1861360133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUQMAN YUSEF WATKINS Executive Director 818-319-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-11-07 |