| NPI | 1508200486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE C KANNIKE-MARTINS CEO/Executive Director 323-295-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 190636 AN) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |