| NPI | 1275263576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE PEREZ CEO 310-876-4681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2023-03-31 |