| NPI | 1497126528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHAN SUZMEYAN Program Administrator 213-924-6442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2019-11-26 |