| 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 |