| NPI | 1124691944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DILLENBACK CEO 310-946-8433 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2023-02-21 |