NPI | 1477051761 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXXIS KYLA AMES Insurance Manager 424-330-0396 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190831CP) |
Enumeration Date | 2018-02-01 |
Last Update Date | 2021-01-19 |