| NPI | 1265731368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL BOOTH Director Of Operations 310-492-9824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190692DP) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |