| NPI | 1912642471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH RICHTER Vice President 818-916-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2023-04-11 |