| NPI | 1104691849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEY WEST Program Director 323-522-7000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 177F00000X Lodging |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-11-22 |