| NPI | 1578084679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIONA A RAY Co Owner/Operator 310-913-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190937AP) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |