| NPI | 1447689856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRIE GREATHOUSE Business Office Director 310-463-5521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |