| NPI | 1689219818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAREE NICOLE MARQUEZ President 626-437-6127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |