| NPI | 1689771628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA BERNIER Executive Director 562-921-5701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CA 190340BN) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103TC0700X Psychologist Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-08-17 |