| NPI | 1174109128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE BRIDGETT HYDER Founder 213-700-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-03-21 |
| Last Update Date | 2023-03-16 |