| NPI | 1184003139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY EARL ALLEN CEO 310-378-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: CA 17674) |
| Enumeration Date | 2015-05-23 |
| Last Update Date | 2015-05-23 |