| NPI | 1619118593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER LALITA CHILDS-DAVIS Executive Director 323-359-6631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 061453925) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |