| NPI | 1356697932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALEXANDER LESTER Vice President 310-230-5574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 197458) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |