| NPI | 1730632159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY A BOOTH Owner 310-951-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190920AP) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |