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 |