| NPI | 1619426707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEXIE SHINE CEO 213-944-9468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2017-04-26 |