| NPI | 1952899775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR ALFONSO CEO 818-212-4659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |