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 |