| NPI | 1114388840 |
|---|---|
| Former Legal Business Name | CAST RECOVERY SERVICES OF SANTA MONICA, INC. |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE L. GRAYSON Executive Director 310-873-3935 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |