| NPI | 1093939431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCO PUQUIZ ENTILA Mft Intern 661-726-2630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |