| NPI | 1225448640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA CAMPOS Substance Abuse Counselor 213-626-6411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190100En) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2023-08-14 |