| NPI | 1376829432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON T MARISTELA Executive Director 323-662-0855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190420AN) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |