| 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 |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |