| NPI | 1598335242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOLAJI ADEDURO President 323-385-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-09-15 |