NPI | 1144007170 |
---|---|
Entity Type | Organization |
Authorized Contact | SKYLAR EATON CEO 310-988-8028 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-09-13 |
Last Update Date | 2024-12-04 |