| NPI | 1902139082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE GOODMAN President 714-771-5276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |