| NPI | 1700678786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ELKHOURY CEO / Program Director 818-687-0059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2026-05-15 |