| NPI | 1679357107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANNE TALBOTT Executive Director 562-528-2139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2025-03-28 |