| NPI | 1992191696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWANNA JEAN SMITH-BLACK Director 323-640-2039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |