| NPI | 1588185128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABIAN DEBORA Director Of Substance Abuse And Rec 323-526-1254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 334263) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-07-21 |