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 |