| NPI | 1841429669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA LYNN MILLER Clinical Director 323-965-1365 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190087CN) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2016-03-31 |