NPI | 1285810556 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES E LOCKETT Executive Director 323-755-2742 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 190518AN) |
Enumeration Date | 2008-01-16 |
Last Update Date | 2008-01-16 |