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 |