| NPI | 1225472699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH GRAY Insurance COO Rdinator 626-797-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300221DP) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |