| NPI | 1780803411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE VARNADOE Executive Director 310-462-5028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 560003DN) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-08-19 |