| NPI | 1932521226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JACOBSON Executive Director 626-797-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 687) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-06 |