NPI | 1053784264 |
---|---|
Former Legal Business Name | SUBSTANCE ABUSE FOUNDATION OF LONG BEACH |
Entity Type | Organization |
Authorized Contact | KATHYRN ROMO Executive Director 562-987-5722 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 190077CN) |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190077AHN) |
Enumeration Date | 2015-11-10 |
Last Update Date | 2015-11-10 |