| NPI | 1255034419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEY WEST Program Director 323-522-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-08-18 |