| NPI | 1538983127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMO HAGHNAZARIAN Admin 424-225-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |