| NPI | 1386444560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CHANG Program Director 818-220-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-24 |