| NPI | 1659750974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA TIMANUS Program Manager 714-381-0432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |