| NPI | 1427441674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M GARCIA Director 310-818-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |