| NPI | 1821787631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEMI ANTHONY Owner 626-376-2975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101Y00000X Counselor |
| 106S00000X Behavior Technician | |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-08-24 |