| NPI | 1144860073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM SNYDER Mgmt 323-915-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2023-06-20 |