| NPI | 1497196075 |
|---|---|
| Doing Business As | IMPACT OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA GONZALES Executive Director 626-798-0884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190094GN) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2024-06-14 |