| NPI | 1184413346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZORI PETROSYAN Owner 818-433-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-10-10 |