NPI | 1689269193 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN BOND CFO 310-721-6447 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2021-03-05 |
Last Update Date | 2021-03-05 |