| NPI | 1922684588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE A. JOHNSON CEO / Owner 213-709-5096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |