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 |