| NPI | 1033665674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MALEK Administrator 626-644-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300642CP) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2020-02-28 |