NPI | 1689141814 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID HEISERMAN CEO 818-942-5468 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2018-10-25 |
Last Update Date | 2018-10-25 |