| NPI | 1386463099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL LARA Qa Manager Administration 323-254-2274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |