NPI | 1952093411 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN GARY MANTIZYAN CEO/CFO 818-640-5590 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2023-05-23 |
Last Update Date | 2023-05-23 |