| NPI | 1124528922 |
|---|---|
| Doing Business As | CVC RECOVERY |
| Entity Type | Organization |
| Authorized Contact | SHANNON DOBBS Owner 310-428-2431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY22043) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103T00000X Psychologist (Licence: CA 29885) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |