| NPI | 1336367358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON PRINS Division Director 661-325-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 151558) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2013-12-23 |