NPI | 1164181376 |
---|---|
Doing Business As | ILLUMINATION MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | BEDROS ASSADORIAN CEO 818-384-5139 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2021-12-15 |
Last Update Date | 2023-06-06 |