| NPI | 1295812626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA RENEE MORRIS Senior Vice President & Executive D 818-686-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300033AN) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 300605606) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300033CN) | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: CA 300605606) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-07-21 |