| NPI | 1326817826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLA F JREISAT Clinical Supervisor 562-241-8669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2023-12-26 |