| NPI | 1215670542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHAN SUZMEYAN Compliance 213-924-6442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-14 |