NPI | 1255783635 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN WATT Executive Director 323-463-4266 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190111AN) |
Enumeration Date | 2016-07-08 |
Last Update Date | 2016-07-08 |