| NPI | 1003941683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT SENELLA President/ Chief Executive Officer 818-654-3815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190085NN) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251X00000X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2022-02-07 |