| 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 |