| NPI | 1275669871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODDAY E. IMAKAVAR Executive Director 213-383-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 190479AN) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |