NPI | 1992213284 |
---|---|
Entity Type | Organization |
Authorized Contact | YOSEF GROSSMAN CEO 310-795-0545 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2018-01-20 |
Last Update Date | 2018-03-22 |