| NPI | 1063101715 |
|---|---|
| Former Legal Business Name | LOCKED IN CEA INC. |
| Entity Type | Organization |
| Authorized Contact | DEANNE M KNIPSCHILD CEO 951-394-1656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |