| NPI | 1861205130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN AUSTIN Compliance Officer 818-915-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |