| NPI | 1417584087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SHOEMAKER Operations Director 310-795-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |