| NPI | 1891663852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAR WONG-MONROE CEO 323-630-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 177F00000X Lodging | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 251E00000X Home Health | |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2025-10-29 |