| NPI | 1710012455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM SORG COO 818-996-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190085BN) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2017-05-04 |