| NPI | 1689858672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA DIXON Executive Director 323-244-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2011-03-08 |