NPI | 1790475036 |
---|---|
Entity Type | Organization |
Authorized Contact | YERANUHI GHAZARYAN Chief Operating Officer 661-936-7027 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2023-05-10 |
Last Update Date | 2023-12-11 |