NPI | 1104398742 |
---|---|
Entity Type | Organization |
Authorized Contact | MATT WALTON Interim Executive Director 310-314-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2018-12-20 |
Last Update Date | 2024-08-19 |