| NPI | 1245982883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PALL Managing Director 818-390-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 341600000X Ambulance |
| 251S00000X | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2023-03-16 |