| NPI | 1144563396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHAN SUZMEYAN Cheif Compliance Officer 213-924-6442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2019-11-26 |