| NPI | 1023518461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA KOCH Administrator/CFO 818-397-8190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 90865) |
| 171M00000X Case Manager/Care Coordinator (Licence: CA 90865) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-22 |