| NPI | 1407123722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIPE RODRIGUEZ Supervisor 323-221-1746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |