NPI | 1487260022 |
---|---|
Entity Type | Organization |
Authorized Contact | LAKECIA HIGGINBOTHAM Executive Director 310-292-8796 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 251S00000X |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2020-09-18 |
Last Update Date | 2021-02-23 |