| NPI | 1568278364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILIN ASTVAZADRIAN CEO/CFO 818-391-0246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |