| NPI | 1245519123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA FARIAS District Chief 310-668-6878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 092155) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |