NPI | 1407661713 |
---|---|
Entity Type | Organization |
Authorized Contact | REZA FARAZMAND Member Manager 310-266-7484 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2025-02-12 |
Last Update Date | 2025-02-12 |