| NPI | 1609515626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HONZEL Doctor 818-599-8539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2024-06-19 |