| NPI | 1710159470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DELFINA CRUZ Program Director 323-589-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 190528AP) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2010-02-08 |