| NPI | 1952954158 |
|---|---|
| Other Name | DANGERFIELD HOME #3 |
| Entity Type | Organization |
| Authorized Contact | LORRIE IRVINF Admin 323-290-5058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2020-02-06 |