| NPI | 1679755466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN N OKOLO Excutive Director 310-673-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 190545AN) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |