| NPI | 1891510533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRAN D SALARI Program Director 818-822-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2025-08-04 |