| NPI | 1689170862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH HUNTER Operation Manager 818-497-8177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NV NV20171772492) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-06-16 |