NPI | 1366802464 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE BOOTH COO/Owner 818-284-6701 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190874AP) |
Enumeration Date | 2016-03-02 |
Last Update Date | 2020-07-22 |