| NPI | 1497932008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E LOCKETT Executive Director 323-755-2742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 190518AN) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-01-25 |