| NPI | 1134765530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHROUZ GHODSIAN CEO 310-709-7355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2021-04-27 |