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 |