| NPI | 1013508688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN BOND CFO 310-774-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-01-27 |