| 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 |