| NPI | 1780011569 |
|---|---|
| Other Name | OUTPATIENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | MATT WALTON Interim Executive Officer 310-314-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2024-03-05 |