| NPI | 1033422563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA L LYTTLE Program Director 310-328-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |