| NPI | 1518228840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK AWANYAI Program Director 323-565-2043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |