| NPI | 1306591185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAGMAR LIEPA President 818-904-9008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 1041C0700X Social Worker, Clinical | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-02-19 |
| Last Update Date | 2022-02-19 |