| NPI | 1427385160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON CASEY Director 714-904-3750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A2000105) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-17 |