NPI | 1487191300 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE CAROL MCNEAL CEO 323-326-0860 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2017-01-30 |
Last Update Date | 2017-01-30 |