| NPI | 1891529442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAHAG MELIKSETYAN CEO 818-489-2587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |