| NPI | 1750369039 |
|---|---|
| Doing Business As | INGLEWOOD ALCOHOL AND DRUG PROGRAM |
| Entity Type | Organization |
| Authorized Contact | GLORIA MCHENRY LEWIS Administrator 310-673-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 19-041-01-100) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2020-08-22 |