| NPI | 1417567884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATARINA SVENSSON Owner 310-741-7199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |