| NPI | 1811403116 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | SANDY ROSILES Clinical Director 323-928-2568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2022-06-29 |