NPI | 1326756701 |
---|---|
Entity Type | Organization |
Authorized Contact | TETYANA USTYNOVA Owner 818-308-3377 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-11-14 |
Last Update Date | 2025-08-21 |