| NPI | 1891997847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAJA I IBRAHEEM Owner 562-426-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 190484BP) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2010-04-19 |