| NPI | 1437706801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SHOEMAKER Owner 310-795-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 177F00000X Lodging |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |