| NPI | 1487511788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARIKSA MENJIVAR Manager 310-343-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-01-07 |
| Last Update Date | 2026-01-28 |