| NPI | 1417456336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE BOYADZHYAN CEO 818-916-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH5357) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-04-16 |