| NPI | 1871198556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIT MURADYAN CEO 818-210-6612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |