| NPI | 1134312689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANISA C. SPEARS Executive Director 323-753-1314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 190547AN) |
| Enumeration Date | 2007-08-18 |
| Last Update Date | 2007-08-18 |