| NPI | 1174743579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE L SCOTT Program Coordinator 323-750-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: CA 107099000) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2022-07-21 |