| NPI | 1639854631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINE CHAKHCHAKHIAN Program Director 818-414-9438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |