| NPI | 1295996668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MACIAS Program Director 818-787-4151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190327AP) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |