NPI | 1992134084 |
---|---|
Entity Type | Organization |
Authorized Contact | JARED VALENTINE CEO 310-579-5192 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190786AP) |
Enumeration Date | 2013-11-08 |
Last Update Date | 2014-09-19 |