NPI | 1427933779 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRANCE DENNIS Chief Executive Officer 562-413-3517 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
385H00000X Respite Care | |
Enumeration Date | 2025-08-06 |
Last Update Date | 2025-08-22 |