| NPI | 1346790730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA ANN MACGOWAN Founder 310-776-7406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 21303) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2022-07-21 |