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 |