| NPI | 1326707787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ALON SAMSON President 818-737-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2021-12-14 |