NPI | 1093156879 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL GARDINER BAYER CEO 310-873-3935 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-07-09 |
Last Update Date | 2013-07-09 |