| NPI | 1538943972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISHKHAN SHAHAZIYAN CEO 818-808-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2024-10-04 |