| NPI | 1609902436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA H JUAREZ Qa Administrative Manager 213-342-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2024-09-10 |