| NPI | 1740539980 |
|---|---|
| Other Name | DIDI HIRSCH MHS - VIA AVANTA |
| Entity Type | Organization |
| Authorized Contact | DULCE M RUIZ Contracts & Grants Manager 310-751-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2020-10-08 |