| NPI | 1912615006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ESSAS Managing Director 310-435-5509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |