| NPI | 1740698521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRIE GREATHOUSE Executive Director 310-288-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA 32070) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA 32070) | |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |