NPI | 1447941570 |
---|---|
Doing Business As | PROFOUND TREATMENT |
Entity Type | Organization |
Authorized Contact | TREVIS SMITH CEO/Owner 310-600-2395 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2023-05-18 |
Last Update Date | 2024-08-16 |