| NPI | 1568946192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SEWELL Billing Manager 562-522-8530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |