NPI | 1669923611 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDY RAE CARLL Executive Director 626-797-1124 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190022AN) |
Enumeration Date | 2016-10-14 |
Last Update Date | 2018-03-27 |