| NPI | 1538889936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER LOTTERHOS Owner 310-415-1148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2023-12-19 |