NPI | 1063197382 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEX YADEGAR President 818-961-7722 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-06-15 |
Last Update Date | 2025-02-20 |