| NPI | 1174070254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT RANDALL VARELA President And CEO 323-724-6911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190279CP) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2020-05-28 |