| NPI | 1558160887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELITA FERNANDO Administrative Manager 310-519-8723 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |