| NPI | 1306621917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON MARTIN Compliance Director 714-916-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-10-23 |