| NPI | 1982003182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA BAKER Executive Director 323-202-8432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |