| NPI | 1992483564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN CATHERINE RUSH Clinical/Program Directoe 818-309-3575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-05 |