| NPI | 1497111736 |
|---|---|
| Other Name | SOCORRO |
| Entity Type | Organization |
| Authorized Contact | JACK BERNSTEIN President / CEO 818-985-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 190095MN) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2022-07-22 |