NPI | 1366429185 |
---|---|
Entity Type | Organization |
Authorized Contact | BERNADINE GOUDEAU President/CEO 213-280-1012 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190472AN) |
Enumeration Date | 2005-12-22 |
Last Update Date | 2020-08-22 |