| NPI | 1942916127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURI LYNNE BURNS Executive Director 818-582-8832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2024-10-02 |