| NPI | 1891312047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAIARPI PANOSIAN Executive Director 818-813-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |