OLLIE BRENT

INGLEWOOD, CA
NPI1386972305
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-12-02
Last Update Date2009-12-02
Business Address
-- OLLIE BRENT
9633 CRENSHAW BLVD
INGLEWOOD, CA 90305-3156
Phone number: 310-482-1824
Mailing Address
-- OLLIE BRENT
9633 CRENSHAW BLVD
INGLEWOOD, CA 90305-3156
Phone number: 310-482-1824