| NPI | 1497227771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA VALENZUELA Billing Specialist 818-280-8063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2020-03-31 |