| NPI | 1023475274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG RILEY Chief 562-264-3618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190023CN) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |