NPI | 1306195748 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY VAN OUDHEUSDEN President/CEO 310-679-9126 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190007UN) |
Enumeration Date | 2012-08-30 |
Last Update Date | 2012-08-30 |