| NPI | 1942714100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA FALCON Director 626-756-2301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300315CP) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2023-07-06 |