| NPI | 1568015774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY JAMES LOEBS Chief Executive Officer 626-802-8287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-08-29 |