| 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 |