| NPI | 1518404102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE NOEL Clinical Supervisor 818-679-0785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |