| NPI | 1902156169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY VAN OUDHEUSDEN President/CEO 310-679-9126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190007TN) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |