| NPI | 1689916827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA LEE KIRKPATRICK Executive Director 818-324-2507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190768AP) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 190768AP) |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CA 190768AP) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |