| NPI | 1093122368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WRIGHT Administrator 626-797-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 360100AP) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |