NPI | 1154765154 |
---|---|
Other Name | PALOMARES ACADEMY |
Entity Type | Organization |
Authorized Contact | JOSEPHINE C. KANNIKE-MARTINS CEO/Executive Director 323-295-1136 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 190636 AN) |
Enumeration Date | 2013-04-20 |
Last Update Date | 2013-04-20 |