| NPI | 1124905658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URVI NATHA Administrator 310-944-1058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |