| NPI | 1497178966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BIVANS Executive Director 310-810-8216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA LR1170411) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2024-02-08 |