| NPI | 1902595002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKTORIYA STINSON Owner 323-474-6393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |