| NPI | 1609630169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAM NIKOGOSYAN Owner 818-441-1049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-06 |