| NPI | 1821465766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD GEORGE KOHLER Program Director 213-389-9964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |