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 |