| NPI | 1174185680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE BOYADZHYAN Owner 818-304-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2019-07-06 |