ERIC JOHNSON

LOS ANGELES, CA
NPI1467863712
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2014-05-08
Last Update Date2014-05-08
Business Address
-- ERIC JOHNSON
3784 WELLAND AVE
LOS ANGELES, CA 90018-4139
Phone number: 949-307-4196
Mailing Address
-- ERIC JOHNSON
3784 WELLAND AVE
LOS ANGELES, CA 90018-4139
Phone number: