| NPI | 1558753004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD OLIVER HARRISON Executive Director 323-249-9097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 190099DN) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2021-06-02 |