| NPI | 1780030403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHOT VARDANYAN Chief Executive Officer 323-803-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |