| NPI | 1609767318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY FLAMMAN Program Director 310-890-2658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-07-11 |