| NPI | 1144734922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA KAPUSTINA CEO 323-449-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2022-07-02 |