| NPI | 1467869917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL BURNS DAVENPORT Director 818-606-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |