| NPI | 1053666024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JAMES BATHUM Chief Executive Officer 818-635-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA BA33452) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |