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 |