| NPI | 1457428252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUFORD TANNIEHILL Community Worker 310-885-2108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-12-04 |