NPI | 1649803461 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANA RADAKOVIC Owner 310-940-5205 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2020-02-20 |
Last Update Date | 2020-11-02 |