| NPI | 1457656407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY SCHOSER Revenue Cycle Manager 323-364-6489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190703AP) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2020-07-29 |