| NPI | 1568280691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISHA KHUDAVERDYAN CEO 323-304-4138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-09-27 |