| NPI | 1063899524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE ANDRESS Executive Director 310-877-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190831AP) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2021-01-19 |