| NPI | 1073887329 |
|---|---|
| Doing Business As | LA FUENTE HOLLYWOOD TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | MANUEL RODRIGUEZ Executive Director 323-464-2947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190725AP) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |