| NPI | 1396549762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON BARSALOU Manager 818-489-4592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |