NPI | 1891093563 |
---|---|
Entity Type | Organization |
Authorized Contact | DARRYL BOOTH Director Of Operations 310-922-2264 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190692BP) |
Enumeration Date | 2011-03-04 |
Last Update Date | 2011-03-04 |