| NPI | 1164980603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MARTINEZ Director 818-809-8868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-09-16 |