| NPI | 1578664041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HALLOWAY STOCKMAN Substance Abuse Counselor 562-826-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: CA 24815) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |