| NPI | 1073111613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKECIA HIGGINBOTHAM Executive Director 310-292-8796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2021-02-23 |