| NPI | 1447527742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BATHUM Executive Board Member 818-635-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 190695) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190695) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |