| NPI | 1922456359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENTIN GASPARYAN Director 818-208-5695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190905ap) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |