| NPI | 1275877151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE LEVAN Corporate Compliance Officer 310-679-9126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-P0804221503) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |