| NPI | 1043084965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP WONG CEO 323-644-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2023-11-10 |