| NPI | 1710792817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMOND TARVERYAN CFO 818-590-5189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |