| NPI | 1902618309 |
|---|---|
| Doing Business As | PROFOUND TREATMENT |
| Entity Type | Organization |
| Authorized Contact | TREVIS SMITH CEO 310-600-2395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |