| NPI | 1891488748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRADSHAW CEO 818-723-9403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-05-29 |