NPI | 1902024276 |
---|---|
Other Name | GRAND AVENUE CENTER FOR DIGNITY |
Entity Type | Organization |
Authorized Contact | RUDY BUTLER Excutive Director 213-747-4626 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190383AN) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2020-08-22 |