| NPI | 1720327356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK AWANYAI Executive Director 323-565-2043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |