| NPI | 1902653678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEEGAN HALUPOWSKI Administrative COO Rdinator 213-389-9946 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2025-08-04 |