| NPI | 1407520497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN JAMES Chief Operating Officer 310-981-3332 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-12 |