| NPI | 1003767997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR KOLOZYAN CEO 818-724-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-02-05 |
| Last Update Date | 2026-06-25 |