| NPI | 1962542274 |
|---|---|
| Doing Business As | IMPACT |
| Entity Type | Organization |
| Authorized Contact | MARK PAQUET Admissions Director 626-798-0884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190094AN) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2013-03-05 |