| NPI | 1356003289 |
|---|---|
| Doing Business As | BELLAGIO IN THE DESERT RTC |
| Entity Type | Organization |
| Authorized Contact | EDWARD KRIVITSKY Owner 818-371-3474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2021-10-07 |