| NPI | 1043679095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LEONOR SQUARREL CEO 619-602-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 370105AN) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-19 |