NPI | 1154906220 |
---|---|
Doing Business As | DETOX LA |
Entity Type | Organization |
Authorized Contact | YOSEF GROSSMAN CEO 310-795-0542 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2021-03-10 |
Last Update Date | 2023-08-31 |