| 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 |