| NPI | 1275901209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE HERNANDEZ Admissions Director 310-779-4476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2019-12-27 |