| NPI | 1912687369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA CRIBBS Owner 818-797-8664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-08-11 |