| NPI | 1811460488 |
|---|---|
| Doing Business As | KSC DETOX |
| Entity Type | Organization |
| Authorized Contact | ERIC MCLAUGHLIN CEO 323-401-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2021-01-19 |