| NPI | 1043802143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE PEREZ Executive Director 310-876-4681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-02-09 |