KEITH WILLIAM BLACK

LOS ANGELES, CA
NPI1730695115
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-12-20
Last Update Date2017-12-20
Business Address
KEITH WILLIAM BLACK
8005 S FIGUEROA ST
LOS ANGELES, CA 90003-2720
Phone number: 323-568-5400
Mailing Address
KEITH WILLIAM BLACK
8005 S FIGUEROA ST
LOS ANGELES, CA 90003-2720
Phone number: 323-568-5400
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