NPI | 1801195904 |
---|---|
Entity Type | Organization |
Authorized Contact | DARRYL BOOTH Director Of Operations 310-922-2264 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190692FP) |
Enumeration Date | 2011-03-15 |
Last Update Date | 2011-03-15 |