NPI | 1114580677 |
---|---|
Doing Business As | CASA BLANCA OUTPATIENT SERVICES |
Entity Type | Organization |
Authorized Contact | JOSHUA ALOMIA COO 310-869-6211 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2019-04-19 |
Last Update Date | 2024-07-16 |