| NPI | 1669941811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MARVIN Chief Executive Officer 310-592-0139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2021-09-15 |