| 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 |