| NPI | 1528818291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY HOOKS Manager 323-435-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |