| NPI | 1487895686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA LABOMME Executive Director 323-755-2742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |