| NPI | 1174676720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK BERNSTEIN President/CEO 818-985-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190095AN) |
| Additional Taxonomies | 251S00000X |
| 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: CA 190095AN) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 251S00000X | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2012-09-21 |