| NPI | 1699522425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MIRSHOJAE Employee 818-606-2319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-05-14 |