| NPI | 1720958739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASPER DO Development/Grant Project Manager 213-251-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-11-06 |
| Last Update Date | 2025-11-10 |