| NPI | 1326485475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MARINO Owner/CEO 626-797-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |