| NPI | 1063120145 |
|---|---|
| Other Name | NOT APPLICABLE |
| Entity Type | Organization |
| Authorized Contact | JOHN GHARIBIAN Treasurer 818-926-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2023-04-20 |