NPI | 1639622392 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT LA VOUGE Chemical Dependency Worker 323-222-6509 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2016-07-29 |
Last Update Date | 2022-07-21 |