| 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 |