| NPI | 1013448547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAM M NIKOGOSYAN Program Director 818-441-1049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2017-03-26 |