| NPI | 1184139875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDYANA LAIR SANTANGELO CEO 310-488-4676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |