| NPI | 1356960512 |
|---|---|
| Other Name | SOUTH GATE |
| Entity Type | Organization |
| Authorized Contact | CONNIE REYNOSA Executive Assistant 562-777-7500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |