NPI | 1245441906 |
---|---|
Entity Type | Organization |
Authorized Contact | LEEANN SKOROHOD COO 310-945-3350 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 251B00000X Case Management |
251X00000X | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2007-05-24 |
Last Update Date | 2022-03-03 |