| NPI | 1568898765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAM GANTENBEIN Counselor 562-498-0768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA CAADAC A3518587) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |