NPI | 1881710861 |
---|---|
Entity Type | Organization |
Authorized Contact | JIM SORG It Director 818-654-3911 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM1300X Clinic/Center, Multi-Specialty | |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-04-07 |