NPI | 1518462118 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE NGUYEN CEO 424-394-3696 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190021AP) |
Enumeration Date | 2018-03-26 |
Last Update Date | 2018-08-20 |