| NPI | 1407040801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NII AHUMA OCANSEY Executive Director 323-304-0054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 7131) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: CA 7131) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |