NPI | 1033483615 |
---|---|
Entity Type | Organization |
Authorized Contact | BRAD KEITH CEO/Owner 310-435-6298 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190727AP) |
Enumeration Date | 2012-02-29 |
Last Update Date | 2012-02-29 |