| NPI | 1588943203 |
|---|---|
| Doing Business As | WALKING MIRACLES LOS ANGELES |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BATHUM Chief Executive Officer 818-635-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190695) |
| Additional Taxonomies | 251B00000X Case Management (Licence: CA 190695) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |