| NPI | 1518419779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXA WARREN Ur/Billing Manager 310-975-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |