NPI | 1528353539 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW HENDERSON Executive Director 310-750-5855 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2011-06-17 |
Last Update Date | 2019-11-07 |