| NPI | 1598195810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN STARR Owner 626-797-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2017-07-19 |