| NPI | 1679809529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE BURNETTE Administrator 323-807-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 01063498) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |