NPI | 1184152530 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT DANESHRAD CEO 818-905-1422 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2017-05-30 |
Last Update Date | 2017-05-30 |