NPI | 1740632306 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL ALON SAMSON Founder/President 818-737-2221 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190842AP) |
Enumeration Date | 2016-07-07 |
Last Update Date | 2016-07-07 |