| NPI | 1508390881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED VALENTINE CEO 310-579-5192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2025-01-14 |