| NPI | 1881839785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA ALONZO Counselor 818-908-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2008-12-05 |