| NPI | 1568981041 |
|---|---|
| Doing Business As | REBOS DETOX |
| Entity Type | Organization |
| Authorized Contact | ROSS REMIEN CEO 310-694-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190984AP) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |