NPI | 1386127710 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER TARLETON Secretary And COO 310-569-3475 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 251S00000X |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2018-09-11 |
Last Update Date | 2018-09-11 |