NPI | 1851715452 |
---|---|
Former Legal Business Name | NA |
Entity Type | Organization |
Authorized Contact | GEORGE BOYADZHYAN CEO 818-465-3988 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 000272062700017) |
Enumeration Date | 2014-02-18 |
Last Update Date | 2014-02-18 |