| NPI | 1134842644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA MEZA Senior Billing Rep 323-212-2096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |