| NPI | 1669997060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN BOND CFO 310-457-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2020-02-06 |