| NPI | 1053192849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN JOHN GHARIBIAN Treasurer 818-926-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2024-01-05 |