| NPI | 1154988665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY KESSLER Executive Assistant 818-334-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-23 |