| NPI | 1366147928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAKOB KUYUMJYAN President 818-855-9040 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |