NPI | 1467045138 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN CARL WINSTON Associate Clinical Director 310-382-7556 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2021-02-14 |
Last Update Date | 2021-02-14 |