| NPI | 1891282786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UNIKA COLBERT Owner 310-429-1453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-11-13 |