| 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 |