| NPI | 1023514957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIGRAN MAMIKONYAN CEO 818-859-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2018-10-31 |