| NPI | 1871992461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT WALTON Executive Officer 310-314-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2024-09-20 |