| NPI | 1003586900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH SCHURGA Program Assistant 626-354-3989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-14 |