| NPI | 1487830279 |
|---|---|
| Other Name | (PROVIDING EVERYONE LIVING SOBER ASSISTANCE |
| Entity Type | Organization |
| Authorized Contact | ELSA ROGERS VP, CFO, Clinical Dir 310-383-7624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |