NPI | 1043537913 |
---|---|
Other Name | MEN'S RESIDENTIAL TREATMENT PROGRAM |
Other Name | HEALING HAVEN |
Entity Type | Organization |
Authorized Contact | MATT WALTON Executive Officer 310-314-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2010-04-30 |
Last Update Date | 2024-09-20 |