| NPI | 1932651197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN K MICHAEL Clinical Director 310-487-5744 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 36631) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |