| NPI | 1891496881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY RAFAEL MORENO Owner 323-420-8025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-03-15 |