| NPI | 1205493673 |
|---|---|
| Doing Business As | TRANSFORMING LIFE CENTER |
| Doing Business As | TRANSFORMING LIFE RESIDENTIAL TREATMENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | SIAMAK AFSHAR Program Director 818-590-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2021-07-15 |