| NPI | 1366977217 |
|---|---|
| Other Name | COUNSELING, INTERVENTION & ASSESSMENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | KEITH ANGELIN Licensed Alcohol And Drug Counselor 949-939-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LR02541116) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |