| NPI | 1639854912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVI YERZBER Owner 310-927-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-16 |