| NPI | 1194131334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY KLIPP Director Of Finance 818-997-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |