| NPI | 1750898763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WILSON CEO 562-310-0443 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300254IP) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |