| NPI | 1427400266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR ALFONSO CEO 818-212-4659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2018-05-14 |