| NPI | 1174238943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI SUSANNE ALLISON Vice President 562-449-7298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-01-17 |