| NPI | 1831077650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OGANES NARDOS Administrator 818-415-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |