NPI | 1801514781 |
---|---|
Doing Business As | PROFOUND TREATMENT |
Entity Type | Organization |
Authorized Contact | TREVIS SMITH CEO/Owner 310-600-2395 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2022-08-17 |
Last Update Date | 2024-08-16 |