| NPI | 1629609441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN BOND CFO 310-774-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2023-05-09 |