| NPI | 1417490251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB ANDERSON Program Director 213-503-1495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190872AP) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |