| NPI | 1245659606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JACOBSON Executive Director 626-797-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |