NPI | 1730423542 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE LEVAN Corporate Compliance Officer 310-679-9126 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-P0884221503) |
Enumeration Date | 2012-11-16 |
Last Update Date | 2012-11-16 |