| NPI | 1093177099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRAN ZAFAR President 858-775-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 18549404) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-09-13 |