| 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 |