| NPI | 1346040268 |
|---|---|
| Doing Business As | THE BRINE RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | DUSTIN SCHIADA Clinical Director 323-221-4134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-20 |