| NPI | 1194984005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD PETER SIMMONS Executive Director 323-295-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190447BN) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2010-05-25 |