| NPI | 1073754784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY VERBOON Executive Director 818-880-2193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190663AP) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |