| NPI | 1912770975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN YOUNG Manager 310-343-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-20 |