| NPI | 1366105017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN GOODSON President/Counselor 661-471-5875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2021-10-20 |