| NPI | 1982935565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAHE A HAKIMIAN Administrator 626-203-1449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 198601281) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: CA 198601281) |
| 261QM0850X Clinic/Center Adult Mental Health (Licence: CA 198601281) | |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |