| 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 |