| NPI | 1558622878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L PERKINS Executive Director 323-810-3153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2017-10-04 |