| NPI | 1760142400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG HOEFLER Owner 310-396-3302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-22 |