| NPI | 1144422817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN W. FISKE CEO 818-761-7374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190361AN) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |