| NPI | 1336752963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN HAINES CEO 310-975-5344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |