NPI | 1588130363 |
---|---|
Doing Business As | WAVE INTERNATIONAL LLC, THE |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER WRIGHT FOX CEO 310-547-7501 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
261QM0850X Clinic/Center, Adult Mental Health | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2018-10-18 |
Last Update Date | 2025-10-01 |