| NPI | 1700505674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY HUGHEY Executive Director 626-228-9137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2024-09-30 |