| NPI | 1295004224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTA HALE Senior Director Of Clinical Service 626-332-3145 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190008FN) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2024-03-01 |