| NPI | 1225582828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLO STEPANIANS CEO 626-241-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 190897AP) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |