| NPI | 1154800134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM SHANDROW Billing Manager 562-972-3955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2020-12-15 |