| NPI | 1669991568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALIM DANIEL Managing Member 310-994-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-25 |