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 |