| NPI | 1285489435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN YOUNG CEO 310-343-8684 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |