| NPI | 1073828638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANNE MARCIA MOORE Executive Director 323-348-4134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CA 190449AN) |
| Enumeration Date | 2010-08-08 |
| Last Update Date | 2010-12-22 |