NPI | 1144018391 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA MASLAVI CEO 323-356-3668 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2025-04-28 |
Last Update Date | 2025-05-07 |