| NPI | 1629811666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAINA DONNER Owner 310-343-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-21 |