| NPI | 1437797024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL OLIVIER CEO 310-922-2264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-12-15 |
| Last Update Date | 2024-02-07 |