| NPI | 1245637362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN DERRICK FLEMING President 323-420-7345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-05 |