| NPI | 1376776385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA VERKHOVSKY Director Of Hr 213-213-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X | |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2011-06-24 |