| NPI | 1538538574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED VALENTINE CEO 310-579-5192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190786AP) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2019-08-21 |