| NPI | 1205254950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEANN SKOROHOD COO/CFO 310-945-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2024-09-16 |