| NPI | 1669102323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA SALMERON Manager/Member 562-533-4532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-06-15 |