| NPI | 1720344716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASHA LISITSA CEO 323-290-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |