| NPI | 1033586698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRIE L GREATHOUSE Chief Executive Officer 310-356-9951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-08-29 |
| Last Update Date | 2015-10-13 |