| NPI | 1780155077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE KUCHINSKAS VP Payer Relations & Operations 562-303-9741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-11 |