NPI | 1285251421 |
---|---|
Other Name | CIRCLE CITY IOP |
Entity Type | Organization |
Authorized Contact | CHARLES BENTZ Managing Partner 310-595-4905 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2020-07-04 |
Last Update Date | 2023-04-13 |