| NPI | 1487020343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA VAN KOVN CEO 818-616-7443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190852) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2019-06-11 |