| NPI | 1851684468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARE WAISMANN Manager 310-205-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300203AP) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |