| NPI | 1679917652 |
|---|---|
| Doing Business As | IMPACT |
| Entity Type | Organization |
| Authorized Contact | JAMES M. STILLWELL Executive Director 626-798-0884 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 1900948HN) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2020-02-04 |