| NPI | 1295241719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR MANUEL PEREZ Program Director 310-999-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2020-01-13 |