| NPI | 1841816402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN BABAYAN CEO 818-231-8054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2023-04-19 |