| 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 |