| NPI | 1508517269 |
|---|---|
| Doing Business As | AUTHENTIC RECOVERY CENTER, CUSHDON |
| Doing Business As | CASA PALMERA LOS ANGELES |
| Entity Type | Organization |
| Authorized Contact | MAGDALEN GUSTILO Director Of Payer Relations 714-568-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2024-07-31 |