| NPI | 1861116071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA MEZA Billing Manager 818-928-0038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2022-09-30 |