| NPI | 1932771417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA WILSON Chief Of Operations 213-373-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-11-13 |