| NPI | 1073169801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BENYA President 310-456-1603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |