| NPI | 1346068616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA LEDVINA CEO 323-356-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-10-10 |