| NPI | 1619291549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DIGUISEPPE Director 818-429-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH-3440) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |