NPI | 1164881280 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH GROSSMAN CEO 310-795-0542 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2016-02-17 |
Last Update Date | 2022-04-12 |