| NPI | 1144883489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA BAKER CEO 323-202-8432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2020-04-29 |