| NPI | 1013892132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANE HARUTYUNYAN Administrator 818-807-5640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 174200000X Meals | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 177F00000X Lodging | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |