| NPI | 1326637265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARUTYUN SHIRIKCHYAN CEO 818-386-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-05-06 |