| NPI | 1104350263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKI HUNTER CFO 818-497-8177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CA 190735CP) |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2017-04-16 |