| NPI | 1699631382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY LAVIGNE Compliance Officer 818-318-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-12-26 |
| Last Update Date | 2025-12-26 |