NPI | 1972236172 |
---|---|
Entity Type | Organization |
Authorized Contact | TAVACKUS DAWSON President 213-924-5275 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
261QH0100X Clinic/Center, Health Services | |
261QR0400X Clinic/Center, Rehabilitation | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
261QR0800X Clinic/Center, Recovery Care | |
276400000X Rehabilitation, Substance Use Disorder Unit | |
Enumeration Date | 2022-07-05 |
Last Update Date | 2022-07-05 |