| NPI | 1639561566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW CONLEY Program Director 818-462-3824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190836ap) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |