| NPI | 1962139212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAJA TROCHIMCZYK Senior Director Of Planning & Devel 818-686-3112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-05 |