| NPI | 1275405953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA LAKMINI PERERA Assistant Clinical Director 626-614-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-09-22 |