| NPI | 1013625250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SPENCER SMARIO Program Director 818-940-6697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2024-01-24 |