NPI | 1508900978 |
---|---|
Entity Type | Organization |
Authorized Contact | APRIL J ANTONIOU Credentialing Services Manager 805-413-1318 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 324509AB) |
Enumeration Date | 2007-02-17 |
Last Update Date | 2020-08-22 |