| NPI | 1063632966 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | NII AHUMA OCANSEY Executive Director 323-304-0054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 101YA0400X) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-09-16 |