| NPI | 1659644318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS NWASOR ADOH Exec Director 310-254-8446 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 190515AN) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |