NPI | 1124306386 |
---|---|
Other Name | MARIPOSA RECOVERY HOME |
Entity Type | Organization |
Authorized Contact | LYNETTA HALE Senior Director Of Clinical Service 626-332-3145 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190035CN) |
Enumeration Date | 2011-07-21 |
Last Update Date | 2024-03-04 |