| NPI | 1144582735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN SCHWARTZE Program Director 323-756-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 12206) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |