| NPI | 1225302383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN A STEPANOFF Clinical Director 562-365-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 190736AP) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-13 |