| NPI | 1801526280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR TER-HOVAHANNISYAN CEO 323-327-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2024-01-16 |