| 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 |