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 |