| NPI | 1669912580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ALPHONSO HENDERSON Program Director 323-493-6064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |