| NPI | 1154410652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY K. MIYAJI Program Director 714-633-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 300125BN) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2009-07-15 |