| NPI | 1558932558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALIN MOURADIAN Secretary 818-800-9702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2021-10-19 |