| NPI | 1700180155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA DIXON Director 323-244-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251B00000X Case Management |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |