| NPI | 1801489588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN CARL WINSTON Associate Clinical Director 310-382-7556 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 253Z00000X In Home Supportive Care | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-02-14 |
| Last Update Date | 2021-02-14 |