| NPI | 1700211224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN ANTONIO CASTRO Owner CEO 818-641-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |