| NPI | 1194242966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ZIERING CFO 310-663-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-07-21 |