| NPI | 1568680338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MILLER Program Director 562-436-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X (Licence: CA 190229AN) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-08-04 |