| NPI | 1396926754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO RIZZO-FONTANESI Executive Director 310-204-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190326AN) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 190326AN) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2020-08-18 |