NPI | 1083326367 |
---|---|
Entity Type | Organization |
Authorized Contact | BERHANU KEBEDE BEDASSA Owner 213-249-6973 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2022-12-19 |
Last Update Date | 2025-08-06 |