| NPI | 1790370203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN BOND CFO 310-721-6447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |