| NPI | 1124150917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NKONYE ADA EZEOBAH Director 310-856-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 7101) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |