NPI | 1033585534 |
---|---|
Entity Type | Organization |
Authorized Contact | KIRSTEN WALLACE CEO 818-651-4594 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2015-08-19 |
Last Update Date | 2015-08-19 |