| NPI | 1194263749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTE HERMAN Director 213-381-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190002BN) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2022-11-18 |