| 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 |