| NPI | 1477017259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIT MURYADYAN CEO 424-600-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2020-10-05 |