| NPI | 1578919585 |
|---|---|
| Doing Business As | OVERLAND IOP |
| Entity Type | Organization |
| Authorized Contact | MATTHEW ZIERING CFO 310-663-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 190950AP) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 190950AP) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2020-07-29 |