| NPI | 1265649719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERSON SA Chief Executive Officer 213-207-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA D191943K) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |