| 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 |