| NPI | 1902340474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK L BROWN Secretary 310-307-9299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190947AP) |
| Enumeration Date | 2016-12-18 |
| Last Update Date | 2016-12-18 |