| NPI | 1568989119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LENCHNER COO 310-741-0843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-24 |