| NPI | 1245922533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN YOUNG Owner 310-343-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-06-22 |