| NPI | 1467799759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI CANON Executive Vice President 310-679-9126 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: CA 190007MN) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |