| NPI | 1861791139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI LA VELLE Executive Director 323-759-2569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2011-03-25 |