| NPI | 1487074449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTE HERMAN Executive Director 213-381-8515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190002BN) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190002AN) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2016-11-02 |