| NPI | 1659826410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM ZAGHA Chief Administrative Officer 424-835-6506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190894AP) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-26 |