| NPI | 1851917033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH RODEMICH Executive Director 626-792-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 177F00000X Lodging |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |