| NPI | 1366846214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA JEAN FRABOTTA Program Director 818-571-8946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190807AP) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |