NPI | 1780012674 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY VAN OUDHEUSDEN President/CEO 310-679-9126 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190239AN) |
Enumeration Date | 2013-10-31 |
Last Update Date | 2013-10-31 |