NPI | 1154690121 |
---|---|
Entity Type | Organization |
Authorized Contact | ADETOUN ADEJOKE ONWAEZE CEO 323-296-5338 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2011-12-21 |
Last Update Date | 2011-12-21 |