| NPI | 1255716924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL TARKANIAN Program Director 562-906-2676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |