| NPI | 1770854390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER FERDMAN Executive Director 310-500-8902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |