| NPI | 1043829971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICELA GRAY Executive Director 310-521-9209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2022-05-11 |