| NPI | 1083206106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIE KIT MAYER Vice President 562-556-6639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-06-25 |