| NPI | 1265927776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK HAGOP TASHDJIAN Chief Executive Officer 323-829-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190063AP) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |