NPI | 1649600834 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY R. ARMSTRONG Executive Director 323-872-6352 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190796AN) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2013-11-25 |
Last Update Date | 2017-04-12 |