| NPI | 1750974218 |
|---|---|
| Doing Business As | OUTPATIENT LOS ANGELES |
| Entity Type | Organization |
| Authorized Contact | CHERVINE RAZMAZMA Managing Member 408-813-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-02-16 |