| NPI | 1376905505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON BARSALOU Manager 818-794-7321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190896AP) |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2024-03-20 |