NPI | 1427791607 |
---|---|
Entity Type | Organization |
Authorized Contact | ANA KESARYAN CEO 818-523-0025 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2022-04-15 |
Last Update Date | 2024-03-26 |