NPI | 1255724357 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE J CORDERO Chemical Dependency Worker 323-222-4660 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA RRW) |
Enumeration Date | 2015-03-13 |
Last Update Date | 2015-03-13 |