| NPI | 1760171698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MEDINA Program Diretor 818-257-1465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2023-05-05 |