| NPI | 1285376806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA LEE CEO/Owner 818-600-2034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-07-29 |