NPI | 1386335875 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAHAN SUZMEYAN Compliance 213-924-6442 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-05-16 |
Last Update Date | 2023-05-16 |