| NPI | 1942973029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE WATANABE Director 213-326-9208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |