| NPI | 1629470190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA BERENSON CEO 310-204-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2016-11-09 |