| NPI | 1578736831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD SHKOLNIKOV Executive Director 310-883-5728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |