| 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 | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2023-03-28 |