| NPI | 1831526920 |
|---|---|
| Doing Business As | KLEAN LONG BEACH, WA @ BELLVUE |
| Entity Type | Organization |
| Authorized Contact | ANDREW SPANSWICK CEO 310-435-8096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2014-03-18 |