| NPI | 1548465958 |
|---|---|
| Doing Business As | BASEN ALCOHOL AND DRUG PROGRAM |
| Entity Type | Organization |
| Authorized Contact | BASSEY B ENUN-ABARA Ex. Director 310-628-3469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care (Licence: CA 7346) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2011-12-23 |