NPI | 1134908064 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER MARIE ROSA Admin 626-607-5964 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-09-28 |
Last Update Date | 2023-09-28 |