| NPI | 1518181379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN AGUILAR Clinical Director 818-980-0849 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X (Licence: CA 6895) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2013-07-31 |