| NPI | 1477173722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS WASHINGTON CEO 310-420-8557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |