| NPI | 1568835296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH LAMONT MARSHALL CEO/Certified Addiction Treatment 626-644-8857 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: CA 091947 V) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |