| NPI | 1083467096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE FALLAH COO 310-880-8710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-10-01 |