| NPI | 1356726913 |
|---|---|
| Doing Business As | PASSAGES VENICE |
| Entity Type | Organization |
| Authorized Contact | MARINA JO MAHONEY COO 310-589-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190835AP) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |