| NPI | 1255813689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEESE B SMITH Project Director 310-672-4078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2024-03-02 |