NPI | 1790571693 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDY ROSILES Compliance Officer 323-818-6660 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2025-04-17 |
Last Update Date | 2025-04-17 |