| NPI | 1154081867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAJA TROCHIMCZYK Senior Director Of Planning 818-686-3112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-21 |